XVII InternationalGym Trophy - XXIV Italian Choreography … · 2015-01-14 · Il Presidente Prot....

17
Il Presidente Prot. n. 01 Rome, 2 January 2015 Object: XVII InternationalGym Trophy - XXIV Italian Choreography Championship X International Rhythmic Gymnastics Tournament Dear Sport friends, I am very pleased to invite you to the XVII InternationalGym Trophy - XXIV Italian Choreography Championship and to the X International Rhythmic Gymnastics Tournament, which will take place on 12, 13 and 14 June 2015 in Capaccio Paestum (Salerno, Italy), next to the complex of ancient temples, which is the World Heritage of UNESCO. Each sporting association and school can join with up to three choreographic teams. The availability of an indoor facility will make the event possible even in case of rain. I am glad to inform you that the accreditation for the events is free of charge. Moreover, five gymnasts will be our guests with free accommodation from Thursday 11 to Saturday 13 June 2015 (three nights), and those who will take a part of the X International Rhythmic Gymnastics Tournament (maximum five gymnasts) will not pay the accommodation fee of the night on Sunday 14 June. Please find the XVII InternationalGym Trophy - XXIV Italian Choreography Championship and X International Rhythmic Gymnastics Tournament technical program attached, together with the application form to fill in, sign and send back. In order to arrange a more detailed planning, applications must be submitted to Confsport Italia via fax to +39065502800 or via e-mail to [email protected] by 25 th May 2015. For any further information, feel free to contact me at +390655282936. Yours sincerely, Paolo Borroni

Transcript of XVII InternationalGym Trophy - XXIV Italian Choreography … · 2015-01-14 · Il Presidente Prot....

Page 1: XVII InternationalGym Trophy - XXIV Italian Choreography … · 2015-01-14 · Il Presidente Prot. n. 01 Rome, 2 January 2015 Object: XVII InternationalGym Trophy - XXIV Italian Choreography

Il Presidente

Prot. n. 01 Rome, 2 January 2015

Object: XVII InternationalGym Trophy - XXIV Italian Choreography Championship X International Rhythmic Gymnastics Tournament Dear Sport friends, I am very pleased to invite you to the XVII InternationalGym Trophy - XXIV Italian Choreography Championship and to the X International Rhythmic Gymnastics Tournament, which will take place on 12, 13 and 14 June 2015 in Capaccio Paestum (Salerno, Italy), next to the complex of ancient temples, which is the World Heritage of UNESCO.

Each sporting association and school can join with up to three choreographic teams. The availability of an indoor facility will make the event possible even in case of rain.

I am glad to inform you that the accreditation for the events is free of charge. Moreover, five gymnasts will be our guests with free accommodation from Thursday 11 to Saturday 13 June 2015 (three nights), and those who will take a part of the X International Rhythmic Gymnastics Tournament (maximum five gymnasts) will not pay the accommodation fee of the night on Sunday 14 June.

Please find the XVII InternationalGym Trophy - XXIV Italian Choreography Championship and X International Rhythmic Gymnastics Tournament technical program attached, together with the application form to fill in, sign and send back. In order to arrange a more detailed planning, applications must be submitted to Confsport Italia via fax to +39065502800 or via e-mail to [email protected] by 25th May 2015.

For any further information, feel free to contact me at +390655282936. Yours sincerely,

Paolo Borroni

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XVII INTERNATIONALGYM TROPHY

XXIV ITALIAN CHOREOGRAPHY CHAMPIONSHIP

Capaccio Paestum (Salerno-Italy), June 12th and 13th 2015

ORGANIZING COMMITTEE: CONFSPORT ITALIA A.S.D. Via dell’Imbrecciato, 181 - 00149 Rome - Italy

www.confsportitalia.it – [email protected] PHONE: +390655282936 - +39065506622 FAX: +39065502800 LOCATION: Capaccio Paestum DATES: Friday, 12th and Saturday 13th June 2015 VENUE: Archeologic Area CATEGORIES: Under 11 (up to year 2004), Over 40, Single PARTECIPANTS: All the athletes members of Confsport Italia, of a Federation

acknowledged by the Federation Internationale de Gymnastique, of Sports Promotion Boards or Foreign Associations, of Clubs and Schools are invited to participate in the event.

REGISTRATION DEADLINES: It is necessary to to fill in, sign and send back the registration form of the XVII InternationalGym Trophy – XXIV Italian Choreography Championship. Applications must be received by fax or e-mail to Confsport Italia no later than 25 May 2015.

ENTRY FEES: Each Sporting Association and School can enter with one or more choreographic teams (no more than three of them). Registration fee for each group is free.

MEDICAL SERVICE: There will be the Medical services provided. VISA: Please verify immediately with your travel agent or your local

Embassy or Consulate in your country if a VISA is required for your travel to Italy. The Organizing Committee will be happy to assist each Delegation member with an official invitation letter, provided that the request is made on time (until 1 April 2015 – as soon as possible). The request must include the function, full name, gender, date of birth, citizenship and passport number, passport expiry date, the arrival and departure dates of the Delegation Member as well as the city. The VISA application support letter must be sent to.

INSURANCE: The Organizing Committee will not be held responsible for any liabilities in case of accidents, illness, repatriation and the like. All participants are responsible for making their own arrangements to have the necessary valid insurance coverage against illness, accidents and for repatriation for all the members of their Delegation. Delegation member with insufficient insurance cover must inform the OC in advance.

INTERNATIONAL TRASPORTATION: The invited participating teams must pay for the travel costs of their delegations members to/from Italy. The Travel Schedule must be returned to the OC by 25 May 2015.

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LOCAL TRASPORTATION AND OC will assure free board and lodging for your 5 athletes and will ACCOMODATION: provide to the transportation from the airport of Capodichino

(Naples), airport Salerno, train station of Salerno or Paestum upon arrival and departure for the teams that will attend to the event on Thursday 11th 2015 in the afternoon, accordingly to the times of arrival of the planes. The return is set on Sunday 14th 2015 in the morning or accordingly to the times of departure of the planes.

The OC will cover the transportation to/from Hotel to/from Archeologic Area.

The costs of the hotels can be viewed in "Hotel Reservation Form”. VISITS: Possibility of Cultural visits of the Museum and Temples of

Paestum. AWARDS: At the end of "soirée" the following prizes will be awarded:

Prize for the best team work; Prize for the most creative choreography; Special Prize for the best choreography for Single Category; Special Prize for the best choreography for Over 40s; Special Prize for the best choreography for Under 11s (up to

year 2004); Prize for technical drills (prizes will be awarded according to the

relevant sectors); Prize for the best music interpretation; Prize for the most creative use of apparatus; XXIV ITALIAN CHOREOGRAPHY CAMPIONSHIP; XVII INTERNATIONALGYM TROPHY. Sporting Associations, Schools and athletes all will receive a memento of the event. The jury reserves unchallengeable right to deliver special prizes. The Sporting Association or the School that will win the XVII InternationalGym Trophy or the XXIV National Choreography Championship will not receive any of the other prizes but, possibly, just special ones.

MEMBERS OF THE JURY: The jury will consist of national and international coaches of the represented disciplines.

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TTEECCHHNNIICCAALL PPRROOGGRRAAMM –– RREEGGUULLAATTIIOONN

1. Each choreography shall last no more than 3' e 30" as for team free gymnastic exercises and/or with small official and unofficial tools. The XVII InternationalGym Trophy – XXIV Italian Choreography Championship is reserved to teams of artistic and rhythmic gymnastics, general gymnastic in all its forms (aerobic, jazzercise, etc.), twirling, trampolining, modern and contemporary dance, flamenco and sports dance. The above mentioned time limits include entering and leaving from the gym floor. The tools of special size, brought by association, must be agreed with the organization.

2. In case the exercise would last more then expected time by the regulation, the performance will be considered “off the charts”

3. Each team will be made up of 2 athletes at least. 4. Teams can consist of both female and male athletes. 5. Athletes can also wear outfits different from leotards. Those outfits, however, must let the

evaluation of performances. 6. Any kind of incidental music is allowed, even singing. 7. Sporting Associations and Schools can perform their choreographies on a 10x10 mt stage. The Event

will take place even in case of rain thanks to the availability of an indoor sporting facility. 8. Each Sporting Association and School shall deliver, in 30 minutes from the beginning of the event, a

CD soundtrack of the performance. Each CD must report the name of the Sporting Association/School and the title of the choreography. Each CD corresponds to a single performance.

9. The show will have this schedule: Friday 12th June 10 AM – 6 PM Stage test Friday 12th June 6.30 PM Preliminary fase Saturday 13th June 7 PM Soirée 10. Each choreography selected by the jury on Friday evening will take part to Saturday’s night soirée.

Confsport Italia reserves the right to modify the program according to the amount of registrations.

INTERNATIONALGYM TROPHY

I TROPHY Sorrento (NA) Year 1999 Scuola Statale Riserva Olimpionica Astrakan (Russia) II TROPHY Valmontone (RM) Year 2000 Scuola Statale Riserva Olimpionica Murmansk (Russia) III TROPHY Spoleto (PG) Year 2001 Dance Acrobatic Club Flip Pirana (Slovenia) IV TROPHY Foligno (PG) Year 2002 La Trottola – Modena (Italia) V TROPHY Foligno (PG) Year 2003 Judo & Gym - Ponte S. Giovanni (Perugia – Italia) VI TROPHY Cattolica (RN) Year 2004 La Trottola - Modena (Italia) VII TROPHY Roma (RM) Year 2005 ASD Olimpia 2000 – Cannara (Perugia - Italia) VIII TROPHY Aprilia (LT) Year 2006 S.V.S. Jarvenpaa – Jarvenpaa (Finlandia) IX TROPHY Foligno (PG) Year 2007 Judo & Gym - Ponte S. Giovanni (Perugia - Italia) X TROPHY Norcia (PG) Year 2008 ASD Orazi e Curiazi – Roma (Italia) XI TROPHY Ortona (CH) Year 2009 ASD Pol. Com.le Albano – Albano (Roma – Italia) XII TROPHY Chianciano T. (SI) Year 2010 Ginnastica Airone Mantova ASD – Mantova (Italia) XIII TROPHY Chianciano T. (SI) Year 2011 Academia Excel – San Nicolàs (Messico) XIV TROPHY Spoleto (PG) Year 2012 Sport Gym. Club “Sport Inter Center” - Noginsk (Russia) XV TROPHY Spoleto (PG) Year 2013 ASD Ginn. Mamoti - S. B. del Tronto (Ascoli Piceno – Italia)

XVI TROPHY Spoleto (PG) Year 2014 Sport Gym. Club “Sport Inter Center” - Noginsk (Russia) XVII TROPHY Capaccio Paestum (SA) Year 2015 _______________________________________________

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XVII INTERNATIONALGYM TROPHY XXIV ITALIAN CHOREOGRAPHY CHAMPIONSHIP

Capaccio Paestum (Salerno-Italy), June 12th and 13th 2015

APPLICATION FORM

Association ...................................................................................................................................................................................................................... Address..................................................................................................... City.............................................. Country...................................................... Telephone ....................................................................................................Fax.............................................................................................................. Responsible............................................................................................ Telephone......................................................................................................... N. Exhibitions..................................................................................................................................................................................................................... Tot. Participants …………………… Females....................... Males....................... Do you want to test the stage on Saturday, 13th? YES NO

►►►►►►►► Name of exhibition ......................................................................................................................................................................................................... Section Artistic Gymnastics Rhythmic Gymnastics Dance Sport Dance General Gymnastic Other (specify)…………………………………………………….. Duration of exhibition………………….. Tot. Athletes …………………… Females................... Males..................... Under 11 (up to year 2004) Yes No Over 40 Yes No Single Yes No

►►►►►►►► Name of exhibition ......................................................................................................................................................................................................... Section Artistic Gymnastics Rhythmic Gymnastics Dance Sport Dance General Gymnastic Other (specify)…………………………………………………….. Duration of exhibition………………….. Tot. Athletes …………………… Females................... Males..................... Under 11 (up to year 2004) Yes No Over 40 Yes No Single Yes No

►►►►►►►► Name of exhibition ......................................................................................................................................................................................................... Section Artistic Gymnastics Rhythmic Gymnastics Dance Sport Dance General Gymnastic Other (specify)…………………………………………………….. Duration of exhibition………………….. Tot. Athletes …………………… Females................... Males..................... Under 11 (up to year 2004) Yes No Over 40 Yes No Single Yes No We declare that all athletes are properly insured against accidents and in possession of a valid medical certificate.

President Signature

Date:

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 2

X INTERNATIONAL RHYTHMIC GYMNASTICS TOURNAMENT

Capaccio Paestum (Salerno – Italy), 14th June 2015

ORGANIZING COMMITTEE: CONFSPORT ITALIA A.S.D. Via dell’Imbrecciato, 181 - 00149 Rome - Italy

www.confsportitalia.it – [email protected] PHONE: +390655282936 - +39065506622 FAX: +39065502800 LOCATION: Capaccio Paestum DATES: Sunday, 14th June 2015 VENUE: Archeologic Area RULES AND REGULATIONS: The event will be organized under the FIG rules, as valid in the year of the

event. AGE: BABIES 2005-2006-2007 W.A. rope, hoop, ball GIRLS 2003-2004 W.A., rope, hoop, clubs JUNIORS 2000-2001-2002 rope, hoop, ball, clubs SENIORS 1999 or older hoop, ball, clubs, ribbon DELEGATIONS: 2 gymnasts per category and each gymnast can enter with max of 2

apparatus. After all applications will be submitted, if a minimum of 3 participants for apparatus will not be reached, Confsport Italia reserves the right to modify the program. 1 coach 1 Judge (in possession of brevet IV) preferred but not required.

REGISTRATION DEADLINES: It is necessary to to fill in, sign and send back the registration form of the X International Rhythmic Gymnastics Tournament. Applications must be received by fax or e-mail to Confsport Italia no later than 25 May 2015.

ENTRY FEES: Registration fee for each gymnast is free. MEDICAL SERVICE: There will be the Medical services provided. VISA: Please verify immediately with your travel agent or your local Embassy or

Consulate in your country if a VISA is required for your travel to Italy. The Organizing Committee will be happy to assist each Delegation member with an official invitation letter, provided that the request is made on time (until 1 April 2015 – as soon as possible). The request must include the function, full name, gender, date of birth, citizenship and passport number, passport expiry date, the arrival and departure dates of the Delegation Member as well as the city. The VISA application support letter must be sent to.

INSURANCE: The Organizing Committee will not be held responsible for any liabilities in case of accidents, illness, repatriation and the like. All participants are responsible for making their own arrangements to have the necessary valid insurance coverage against illness, accidents and for repatriation for all the members of their Delegation. Delegation member with insufficient insurance cover must inform the OC in advance.

INTERNATIONAL The invited participating teams must pay for the travel costs of their TRASPORTATION: delegations members to/from Italy. The Travel Schedule must be returned to the OC by 25 May 2015.

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 3

LOCAL TRASPORTATION: The OC will cover the transportation to/from Hotel from the airport Capodichino (Naples), airport Salerno, Salerno or Paestum train station upon arrival and departure.

The OC will cover the transportation to/from Hotel to/from Archeologic Area.

ACCOMODATION: The costs of the hotels can be viewed in "Hotel Reservation Form”. Five gymnasts will be our guests with free accommodation from Saturday 13 to Sunday 14 June 2015 (two night stay).

(See regulation XVII InternationalGym Trophy). AWARDS: First 3 positions for each apparatus and category will be awarded

with medals: Gold-Silver-Bronze, cups and special gifts. The other gymnasts will be awarded with medals.

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 4

TTEECCHHNNIICCAALL PPRROOGGRRAAMM FFOORR BBAABBIIEESS IINNDDIIVVIIDDUUAALL EEXXEERRCCIISSEESS ((WWIITTHHOOUUTT AAPPPPAARRAATTUUSS))

TTEECCHHNNIICCAALL PPRROOGGRRAAMM FFOORR BBAABBIIEESS IINNDDIIVVIIDDUUAALL EEXXEERRCCIISSEESS ((RROOPPEE,, HHOOOOPP,, BBAALLLL))

For further technical notes see Code of Points Rhythmic Gymnastics 2013-2016 F.I.G. (version valid from 1st of January 2015).

Difficulty (D) 5.00 points maximum

Max. 4

Value: 0,30

Body Difficult

D 8 Body Difficulties

(Min. 2 and max.3) of each Body Group

Value:

0,10 0,20 0,30 0,40

max 2 Diff. until 0,80 of value

Difficulty (D) 5.00 points maximum

Max. 4

Value: 0,30

Body Difficult

D 5 Body Difficulties

(min. 1 and max. 2) of each Body Group

coordinated with Fundamental Technical groups specific to each

apparatus and/or elements from the

other Apparatus Technical groups

Value: 0,10 0,20 0,30 0,40

max 2 Diff. until 0,80 of

value

Apparatus Mastery

Max. 4

Value: 0,30

M

Dance Steps Combination

Min. 1

coordinated with Fundamental Technical groups specific to each

apparatus and elements from the other Apparatus

Technical groups Value: 0,30

S- - - -

-

Dynamic Elements with Rotation and

throw

Max. 1

Maxim value 0,40

R

Dance Steps Combination

Min. 1

Value: 0,30

S- - - -

-

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 5

TTEECCHHNNIICCAALL PPRROOGGRRAAMM FFOORR GGIIRRLLSS IINNDDIIVVIIDDUUAALL EEXXEERRCCIISSEESS ((WWIITTHHOOUUTT AAPPPPAARRAATTUUSS))

TTEECCHHNNIICCAALL PPRROOGGRRAAMM FFOORR GGIIRRLLSS IINNDDIIVVIIDDUUAALL EEXXEERRCCIISSEESS ((RROOPPEE,, HHOOOOPP,, CCLLUUBBSS))

For further technical notes see Code of Points Rhythmic Gymnastics 2013-2016 F.I.G. (version valid from 1st of January 2015).

Difficulty (D) 6.00 points maximum

Max. 4

Value: 0,30

Body Difficult

D 8 Body Difficulties

(Min. 2 and max.3) of each Body Group

Value:

0,10 0,20 0,30 0,40 0,50

max 2 Diff. until 1,00 of value

Difficulty (D) 6.00 points maximum

Max. 4

Value: 0,30

Body Difficult

D 6 Body Difficulties

(min. 1 and max. 2) of each Body Group

coordinated with Fundamental Technical groups specific to each

apparatus and/or elements from the

other Apparatus Technical groups

Value: 0,10 0,20 0,30 0,40 0,50

max 2 Diff. until 1,00 of

value

Apparatus Mastery

Max. 4

Value: 0,30

M

Dance Steps Combination

Min. 1 coordinated with

Fundamental Technical groups specific to each

apparatus and elements from the other Apparatus

Technical groups Value: 0,30

S- - - -

-

Dynamic Elements with Rotation and

throw

Max. 2

Maxim value 0,50

R

Dance Steps Combination

Min. 1

Value: 0,30

S- - - -

-

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 6

TTEECCHHNNIICCAALL PPRROOGGRRAAMM FFOORR JJUUNNIIOORR IINNDDIIVVIIDDUUAALL EEXXEERRCCIISSEESS

For further technical notes see Code of Points Rhythmic Gymnastics 2013-2016 F.I.G. (version valid from 1st of January 2015) pages 42/43.

TTEECCHHNNIICCAALL PPRROOGGRRAAMM FFOORR SSEENNIIOORR IINNDDIIVVIIDDUUAALL EEXXEERRCCIISSEESS

For further technical notes see Code of Points Rhythmic Gymnastics 2013-2016 F.I.G. (version valid from 1st of January 2015) pages 8 - 11.

Difficulty (D) 10.00 points maximum

Max. 4

Value: 0,30

Body Difficult

D Min. 6 and max. 9 coordinated with

Fundamental Technical groups specific to each

apparatus and/or elements from the

other Apparatus Technical groups

Value: 0,10 0,20 0,30 0,40 0,50

Apparatus Mastery

Max. 5

Value: 0,30

M

Dance Steps Combination

Min. 1 coordinated with

Fundamental Technical groups specific to each

apparatus and elements from the other Apparatus

Technical groups Value: 0,30

S- - - -

-

Dynamic Elements with Rotation and

throw

Max. 3

R

Difficulty (D) 8.00 points maximum

Max. 4

Value: 0,30

Body Difficult

D Min. 4 and max. 7 coordinated with

Fundamental Technical groups specific to each

apparatus and/or elements from the

other Apparatus Technical groups

Value: 0,10 0,20 0,30 0,40 0,50

Apparatus Mastery

Max. 4

Value: 0,30

M

Dance Steps Combination

Min. 1 coordinated with

Fundamental Technical groups specific to each

apparatus and elements from the other Apparatus

Technical groups Value: 0,30

S- - - -

-

Dynamic Elements with Rotation and

throw

Max. 3

R

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 7

X INTERNATIONAL RHYTHMIC GYMNASTICS TOURNAMENT

Capaccio Paestum (Salerno - Italy), 14

th June 2015

APPLICATION FORM

Club............................................................................................................................................................................................................ Address............................................................................City.....................................Country................................................................... Phone.........................................................Fax....................................................E-mail............................................................................. Team Manager.............................................................................................Phone.................................................................................... Gymnasts

Gymnast’s Name Apparatus Category Date of birth

01

02

03

04

05

06

07

08

09

10

Coach/Executive/Judge

Full Name Title Phone E-mail Available to

judge? Brevet

01 Yes/No

02 Yes/No

We declare that all athletes are properly insured against accidents and in possession of a valid medical certificate. President Signature

Date:

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 8

X INTERNATIONAL RHYTHMIC GYMNASTICS TOURNAMENT

Capaccio Paestum (Salerno – Italy) 14th June 2015

Club from: ____________________________________________________________

Departing Flight:

Departing from (airport): ________________________________________________ Date: ______/______/2015 Flight №: _________________________ Time: _________________ Persons: __________________________ Arriving at (airport): ____________________________________________________

Returning Flight:

Departing from (airport): ________________________________________________ Date: ______/______/2015 Flight №: _________________________ Time: _________________ Persons: __________________________ Arriving at (airport): ____________________________________________________

Flight Schedule

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 9

X INTERNATIONAL RHYTHMIC GYMNASTICS TOURNAMENT

Capaccio Paestum (Salerno – Italy) 14th June 2015

Club from: ____________________________________________________________

Departing Train:

Departing from (train station): ___________________________________________ Date: ______/______/2015 Train №: _________________________ Time: _________________ Persons: __________________________ Arriving at (train station): _______________________________________________

Returning Train:

Departing from (train station): ___________________________________________ Date: ______/______/2015 Train №: _________________________ Time: _________________ Persons: __________________________ Arriving at (train station): _______________________________________________

Train Schedule

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CONFSPORT ITALIA A.S.D. – X International Rhythmic Gymnastics Tournament 10

X INTERNATIONAL RHYTHMIC GYMNASTICS TOURNAMENT

Capaccio Paestum (Salerno – Italy) 14th June 2015

Please complete this form for any delegation members who need a personal invitation to assist with their Visa Application for entry in Italy. After this information received, a letter of invitation will be send to the applicants.

Family/Last name

(as it appears on the passport)

First name

(as it appears on the passport) Function Passport #

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

ATHLETE ___COACH ___ JUDGE ___OTHER____

President Signature

Date:

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P.IVA 04602370654 – Piazza Alfano I, 12/13 – 84121 Salerno Fax: 089/84.22.809

Hotel Reservation Form XVII InternationalGym Trophy - XXIV Italian Choreography Championship

X International Rhythmic Gymnastics Tournament

12/13/14 June 2015 - Capaccio Paestum

Contact Person

Last Name: e-mail: Mobile:

First Name:

Phone:

Society Nation:

Total number participants Arrival date: Departure date: n° of nights:

Kind of hotel Required Preference of the chosen category *

Customers details and treatment required

B/b=Bed and breakfast n° Adults: n° Young:

H/b= Half Board (1/2 water and ¼ of wine for adults)

n° Adults: n° Young:

F/b= Full Board (1/2 water and ¼ of wine for adults)

n° Adults: n° Young:

Type of accommodation and number of rooms

Single room n° Double room n°

Dus n° Triple room n°

Twin room n° Quadruple room n°

Hotel category * and Rates subject to availability

Prices per day and per person

Hotel 4* stars: from € 40,00 to € 45,00 b&b from € 50,00 to € 55,00 h/b from € 58,00 to € 63,00 f/b Single supplement € 25,00

Hotel 3* stars: from € 33,00 to € 38,00 b&b from € 39,00 to € 44,00 h/b from € 45,00 to € 50,00 f/b Single supplement € 18,00

Hotel 2* stars: from € 28,00 to € 33,00 b&b from € 35,00 to € 39,00 h/b from € 40,00 to € 45,00 f/b Single supplement € 15,00

Type of payment

Bank Transfer Account name Barbirotti Viaggi Bank - Iw Bank S.P.A. - Milano

IBAN. IT 19 I 0316501600000071001107 - Bic Cod Swift : IWBKITMM

Credit Card nr.: First Name: Last Name: Credit Card: n°: Expiry date: CVV:

Send the completed form to: [email protected]